Individual
SALONA SHRESTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-2392
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00048484
WA
207R00000X
Internal Medicine Physician
Primary
MD160505
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8389686
—
WA
05
—
8497232
—
WA
01
—
P00468662
RR MEDICARE
WA
01
—
P0048662
RR MEDICARE
WA
Enumeration date
09/20/2007
Last updated
12/06/2019
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